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穴位按压和沐浴在分娩中的应用对分娩疼痛强度和产后舒适度的影响。

Effects of acupressure and shower applied in the delivery on the intensity of labor pain and postpartum comfort.

机构信息

Kirklareli University School of Health, Midwifery Department Kirklareli, Turkey.

Private Medipol Nisa Hospital, Istanbul, Turkey.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2022 Jun;273:98-104. doi: 10.1016/j.ejogrb.2022.04.018. Epub 2022 Apr 28.

DOI:10.1016/j.ejogrb.2022.04.018
PMID:35552080
Abstract

BACKGROUND AND PURPOSE

Labour pain is a constantly increasing pain. This study thus aims to determine the effects of acupressure and shower on labour pain and postpartum comfort.

METHODS

In this randomized controlled trial (RCT), the control group consisted of 40 pregnant women, while the experimental groups consisted of 80 pregnant women in total. The experimental groups received routine labour care and either acupressure or showers upon reaching three cervical dilations (4-5, 6-7 and 8-10 cm). The control group only received routine labour care. A maternal information form (MIF), the Visual Analog Scale (VAS) and the Postpartum Comfort Questionnaire (PPCQ) were used to collect data.

RESULTS

Pain was significantly reduced in both of the experimental groups, in contrast to the control group, in all periods of the study (p < 0.001). Postpartum comfort also significantly increased in the experimental groups compared to the control group (p < 0.05).

CONCLUSION

Acupressure and showering are effective in reducing labour pain and increasing postpartum comfort. Midwives and nurses can therefore apply them as inexpensive and easy to administer methods for labour pain relief.

摘要

背景与目的

分娩疼痛是一种持续加剧的疼痛。本研究旨在确定穴位按压和淋浴对分娩疼痛和产后舒适度的影响。

方法

在这项随机对照试验(RCT)中,对照组包括 40 名孕妇,而实验组总共有 80 名孕妇。实验组在宫颈扩张至 3 厘米(4-5、6-7 和 8-10 厘米)时接受常规分娩护理和穴位按压或淋浴。对照组仅接受常规分娩护理。使用产妇信息表(MIF)、视觉模拟评分(VAS)和产后舒适度问卷(PPCQ)收集数据。

结果

与对照组相比,实验组在研究的所有阶段疼痛均显著减轻(p<0.001)。实验组的产后舒适度也明显高于对照组(p<0.05)。

结论

穴位按压和淋浴可有效减轻分娩疼痛,增加产后舒适度。因此,助产士和护士可以将它们作为一种廉价且易于实施的分娩镇痛方法。

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